Doctor Name: | LEV H SUDAKOV |
NPI Number: | 1376540468 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 010232 |
Business Practice Address: | 1801 S Ocean Dr Suite E Hallandale Beach, FL - 330094945 |
Business Phone Number: | 9543917864 |
Business Fax Number: | 9543918468 |
Mailing Address: | 1801 S Ocean Dr, Suite E HALLANDALE BEACH |
State: | FL |
Postal Code: | 330094945 |
Phone Number: | 9543917864 |
Fax Number: | 9543918468 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 010232 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |